PHYLLIS IRENE KUKLA (NPI# 1568091163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568091163 |
| Entity Type | Individual |
| Full Name | PHYLLIS IRENE KUKLA |
| Other Name | PHYLLIS IRENE PULASKI |
| Credential | COTA |
| Practice Address |
1834 Fields Blvd Greenfield IN 46140-3029 |
| Practice Telephone | 3175275437 |
| Mailing Telephone | 3175275437 |
| Mailing Fax Number | 3173181356 |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 32000680A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10 Coronado Rd, Indianapolis, IN 462342526 | 3175275437 | |
| 1722 W 16th St, Indianapolis, IN 462022031 | 3175275437 | |
| 2004 1/2 S Memorial Dr, New Castle, IN 473621220 | 3175275437 | |
| 2519 E 10th St Ste A, Anderson, IN 460124464 | 3175275437 |
| Street Address |
1834 FIELDS BLVD |
| City | GREENFIELD |
| State | IN |
| Zip Code | 46140-3029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790903177 | Christina Renee Mcqueeney | Audiologist | 1834 Fields Blvd, Greenfield, IN 46140 | 2007-04-23 |
| 1891339057 | Danielle Brendle | Occupational Therapist | 1834 Fields Blvd, Greenfield, IN 46140-3029 | 2019-10-31 |
| 1780225482 | Brandon Thomas Brown | Behavioral Analyst | 1834 Fields Blvd, Greenfield, IN 46140-3029 | 2019-10-03 |
| 1316588247 | Alyssa Ryan Schlachter | Behavioral Analyst | 1834 Fields Blvd, Greenfield, IN 46140-3029 | 2019-10-02 |
| 1467962910 | Stephanie L Foster | Behavioral Analyst | 1834 Fields Blvd, Greenfield, IN 46140-3029 | 2017-10-10 |
| 1467982223 | Nicole Smith | Occupational Therapist | 1834 Fields Blvd, Greenfield, IN 46140-3029 | 2017-06-14 |
| 1679003412 | Jessica Martin | Behavioral Analyst | 1834 Fields Blvd, Greenfield, IN 46140-3029 | 2017-06-14 |
| 1962937656 | Therapy and Behavior Services, LLC | Behavioral Analyst | 1834 Fields Blvd, Greenfield, IN 46140-3029 | 2017-05-01 |
| 1659824910 | Jordan Johnson | Behavioral Analyst | 1834 Fields Blvd, Greenfield, IN 46140-3029 | 2016-08-03 |
| 1689028326 | Emily Kathryn Lourash | Speech-Language Pathologist | 1834 Fields Blvd, Greenfield, IN 46140-3029 | 2016-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417504655 | Megan Snider | Nurse Practitioner | 1120 S Jacobi Rd, Greenfield, IN 46140 | 2019-08-22 |
| 1598319048 | Paul Vernon Runyan Jr. | Counselor | 5486 W Us Highway 40, Greenfield, IN 46140 | 2019-08-01 |
| 1467928457 | Candace Kay Roudebush | Developmental Therapist | 1342 Fairview Dr, Greenfield, IN 46140 | 2018-10-17 |
| 1730660481 | Samruddhi Dawande | Physical Therapist | 200 Green Meadows Drive, Greenfield, IN 46140 | 2018-08-21 |
| 1255794178 | Claire Lubbers | Nurse Practitioner | 300 E. Boyd Ave., Suite Ahn-family Medicine, Greenfield, IN 46140 | 2016-03-29 |
| 1376905752 | Justin Donat | Pharmacist | 2181 N West Bay Dr Apt D, Greenfield, IN 46140 | 2016-03-24 |
| 1265716476 | Kathleen Theresa Picard-nance | Pharmacist | 1195 N State Street, Greenfield, IN 46140 | 2011-10-06 |
| 1780991513 | Melinda Sue Wolfe | Midwife, Lay | 1929 Declaration Dr, Greenfield, IN 46140 | 2010-08-31 |
| 1669694287 | Lifetime Dental Care of Indiana, PC | Dentist | 168 East New Road, Greenfield, IN 46140 | 2007-05-03 |
| 1235219932 | Hancock County Health Department | Registered Nurse | 111 American Legion Place Rm 150, Greenfield, IN 46140 | 2006-10-17 |
| Find all providers in zip 46140 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407392046 | Samantha Lynne Flora | Occupational Therapy Assistant | 444 Jefferson St, Greenfield, OH 45123-1355 | 2017-01-06 |
| 1275901324 | Shanna S Hensberger | Occupational Therapy Assistant | 7517 W Cold Spring Rd, Greenfield, WI 53220-2814 | 2015-09-07 |
| 1639576580 | Linda Ellen Labore | Occupational Therapy Assistant | 1325 Sherwood Dr, Greenfield, IN 46140-1141 | 2014-11-20 |
| 1164761391 | Amy M. Smith | Occupational Therapy Assistant | 850 Nellie Street, Greenfield, OH 45123 | 2013-02-07 |
| 1548540693 | Rosa Isela Angel | Occupational Therapy Assistant | 810 Oak Blvd, Greenfield, IN 46140-1249 | 2011-08-22 |
| 1063666766 | Ronna Taylor-dye | Occupational Therapy Assistant | 4509 W Lake Potomac Vw Apt A, Greenfield, IN 46140-7361 | 2008-11-07 |
| 1619123924 | Debbie Kainz | Occupational Therapy Assistant | 4205 S Ravinia Dr, #103, Greenfield, WI 53221-5736 | 2008-08-18 |
| 1295904647 | Terese G Fabian | Occupational Therapy Assistant | 3540 S 111th St, Greenfield, WI 53228-1104 | 2008-02-29 |
| 1518153238 | Lora L Alonzo | Occupational Therapy Assistant | 5573 S 300 E, Greenfield, IN 46140-9262 | 2007-09-17 |
| 1558826487 | Julia Marie Mlinar | Occupational Therapy Assistant | 4500 W Loomis Rd, Greenfield, WI 53220-4819 | 2019-02-05 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 46140 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.